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23
Liu Hong Mei
Neurology
About me
Graduated from the Medical Department of Xi'an Jiaotong University, postgraduate degree from Hebei Medical University, working in cardiology and neurology for 20 years.
Proficient in diseases
Specializes in treating neurological diseases such as encephalitis, meningitis, myelitis, cerebral hemorrhage, cerebral infarction, migraine, Guillain-Barré syndrome, Parkinson's syndrome, anxiety and depression, dizziness, headache, as well as cardiovascular diseases such as coronary heart disease, angina pectoris, aortic dissection, hypertension, diabetes, etc.
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Can people with myasthenia gravis soak their feet?
Soaking in hot water can promote blood circulation, dilate blood vessels, improve local blood circulation in the lower limbs, promote metabolism, prevent thrombosis, and prevent muscle atrophy. In the early stages of myasthenia gravis, patients often experience limb discomfort, numbness, pain, blurred vision, and fatigue. In work and daily life, it is common to experience tiredness, memory loss, slow responses, and reluctance to be active. Soaking the feet can promote blood circulation and can improve local blood flow, which has a certain beneficial effect on myasthenia gravis. As the disease progresses, there is obvious fatigue and weakness in the skeletal muscles, especially after fatigue in the afternoon and evening, which is reduced in the morning or after rest.
Parkinson's disease Braak staging
Parkinson's disease Braak staging is generally divided into five stages: Stage 1 refers to unilateral symptoms only, such as tremors or stiffness in one hand or one foot, with symptoms confined to one side of the body and not crossing the midline. Stage 2 refers to mild symptoms on both sides, such as tremors in both hands or throughout the body, but without impairment of balance. Stage 3 refers to more pronounced bilateral symptoms, such as difficulty lifting legs, taking small shuffling steps, leaning forward, or instability when holding a bowl while eating, but capable of living normally. Stage 4 refers to the loss of most of the ability for autonomous activity. Stage 5 refers to a complete loss of the ability to live independently.
Is myasthenia gravis an autoimmune disease?
Myasthenia gravis is an autoimmune disease that primarily affects the neuromuscular junction, leading to abnormalities in acetylcholine receptors. This can cause weakness in some or all skeletal muscles, which easily fatigues, particularly after activity or exertion, with symptoms worsening. Symptoms can be alleviated after rest or treatment with cholinesterase inhibitors. As an autoimmune disease, myasthenia gravis often co-occurs with other autoimmune disorders such as hyperthyroidism, thyroiditis, systemic lupus erythematosus, and rheumatoid arthritis. Symptoms of myasthenia gravis typically lessen in the morning and worsen after activity, showing a pattern of being lighter in the morning and heavier in the evening.
What causes sudden fainting and incontinence?
Sudden fainting accompanied by incontinence can be due to neurogenic syncope, cardiogenic syncope, or vasovagal syncope. Neurogenic syncope generally refers to sudden fainting caused by conditions such as cerebral arteriosclerosis, cerebral vascular narrowing, cerebral vascular occlusion, transient cerebral ischemia, insufficient blood supply from the vertebrobasilar arteries, cerebral embolism, cerebral hemorrhage, intracranial space-occupying lesions, or cerebral vascular malformations, which can lead to incontinence and, in severe cases, convulsions. Cardiogenic syncope is generally caused by myocardial ischemia, myocardial infarction, arrhythmia, or heart failure, leading to a decrease in cardiac output and resulting secondary cerebral ischemia and hypoxia, which cause loss of consciousness.
Which areas are treated with moxibustion for brain atrophy?
Brain atrophy can be treated with moxibustion at acupuncture points on the head and face, such as the Renzhong, Yintang, Baihui, Fengchi, and Tianzhu points. These points help in revitalizing the brain and supplementing the brain and spinal cord. Brain atrophy is a chronic cerebral vascular disease and falls under the categories of dementia and amnesia in Chinese medicine. Acupuncture can be helpful in the early stages of brain atrophy. Treatments can also be combined with moxibustion, physiotherapy, symptomatic treatment, massage, etc. Acupuncture points on the limbs, such as Neiguan, Shenmen, Hegu on the upper limbs, and Sanyinjiao, Zusanli on the lower limbs can be used to nourish the liver and kidneys, and calm the mind.
Can metronidazole be used for myasthenia gravis?
Patients with myasthenia gravis must use ornidazole with caution and under the guidance of a doctor because the side effects of ornidazole may exacerbate myasthenia gravis. However, ornidazole is not relatively or absolutely contraindicated for patients with myasthenia gravis. Generally, the patient's side effects are observed, and if myasthenia gravis is aggravated, the use of ornidazole is recommended to be cautious or prohibited. Ornidazole can cause neurological reactions, including headache, fatigue, dizziness, trembling, limb numbness and weakness, convulsions, mental confusion, epileptic seizures, ataxia, and consciousness disturbances, and may cause peripheral nerve damage.
Can myasthenia gravis use non-invasive ventilators?
Myasthenia gravis can be treated with a non-invasive ventilator, and it is generally manageable with medication. Early stages of myasthenia gravis may present with symptoms such as ptosis, poor breathability, respiratory difficulty, worsening symptoms after activity, and increased severity in the evening. Respiratory weakness might require treatment with a non-invasive ventilator. If respiratory weakness does not improve with medication and leads to respiratory failure, it is advisable to use a non-invasive ventilator to improve the patient's symptoms and alleviate difficulties. Respiratory muscle weakness can be life-threatening and requires active treatment.
Can facial neuritis be treated with hot compresses?
Facial neuritis can be treated with heat application, which can promote local blood circulation in the face and accelerate the repair of nerve functions. Patients with facial paralysis can control the water temperature at about 60°C during heat application, applying heat twice a day, each time for 10~15 minutes. It is important to prevent burns and treatments can also be combined with acupuncture and physiotherapy, which can nourish the nerves or use small doses of hormones. A light diet should be maintained, along with plenty of rest and adequate sleep. Avoid spicy, stimulating, excitatory foods, as well as raw, hard, and indigestible foods. Regularly eat fresh vegetables and fruits.
What should I do if I feel dizzy, nauseous, want to vomit, and have urinary incontinence?
Dizziness, nausea, vomiting, and urinary incontinence may be related to neurasthenia, autonomic dysfunction, smoking, alcohol abuse, staying up late, excessive tension, excessive fatigue, urinary system inflammation, urinary tract infections, and stones. It is important to pay attention to rest, ensure adequate sleep, eat a light diet, eat less greasy food, eat less spicy and stimulating food, quit smoking and drinking, prevent colds and infections, maintain a good mood and attitude, avoid emotional excitement and excessive stress, avoid strenuous activities, and regularly monitor blood pressure, blood lipids, and blood sugar.
What should people with myasthenia gravis pay attention to in their daily lives?
Patients with myasthenia gravis should be careful to continue taking their medications after being discharged from the hospital and must not change the dosage or administration of their medication on their own. It is important to avoid overexertion and emotional stimuli in daily life. One should ensure to get enough rest, maintain adequate sleep, and consume fresh vegetables and fruits. Avoid spicy, stimulating, and excitatory foods. Do not be overly sad or experience excessive emotional fluctuations. Pay attention to the risk of catching a cold and upper respiratory infections. Take precautions against exposure to cold and prevent infections. Balance work and rest, maintain regular life patterns, keep in good spirits, ensure adequate sleep, and avoid excessive emotional disturbances and stimuli.